Nur 340 Exam 2 Practice\\ NUR 340 Exam 2
Practice Test – Study Questions, Answers,
and Key Concepts
A patient experiencing a panic attack suddenly began running and shouting, "I'm going to explode!"
Select the nurse's best action.
A. Ask, "I'm not sure what you mean. Give me an example".
B. Capture the patient in a basket-hold to increase feelings of control.
C. Tell the patient, "Stop running and take a deep breath. I will help you".
D. Assemble several staff members and say, "we will take you to seclusion to help you regain control"
c
A patient diagnosed with schizophrenia expresses fear of being pursued by hostile forces.The patient
carries a tablet and writes notes in a code. The patient says, "I'm the only one who understands this
code." How should the nurse document these findings?
A. Grandiose and persecutory delusions
B. Affective blunting and anhedonia
C. A motivation and loose associations
D. Anergia and auditory hallucinations
A
A highly suspicious patient tells the nurse, "When I sit in the dayroom, I can see other people whispering
about me and laughing. It makes me want to punch them." The direction that the nurse should give staff
is:
A. "Gently and frequently touch the patient while conversing."
B. "Stop laughing immediately when the patient enters the room."
C. "Be direct. Do not whisper, laugh, or look sideways at the patient."
D. "Engage the patient in conversation by leaning close and speaking softly."
C
,Anxiety is a universal experience, particularly in hospitalized individuals. The nurse recognizes it as
clinically significant when:
A. It is relieved by problem-solving within a brief period of time
B. It occurs at a mild level
C. It interferes with functioning
D. None of the above
C
A nurse is asked to establish a short-term goal for a patient with Alzheimer's disease.Which is most
appropriate?
A. Improved problem solving with activities of daily living
B. Increased self-esteem and improved self-concept
C. Optimum functioning in the least restrictive environment
D. Regained sensory perception and cognitive function
C
Which behavior indicates to the nurse that the treatment plan for a child diagnosed with autistic
disorder has been effective? The child:
a. Plays with one toy for 30 minutes
b. Repeats words spoken by a parent
c. Holds the parent's hand while walking
d. Spins around and claps hands while walking
C
A caregiver for your patient with dementia states "I just don't know if I can do this any more". Select
your best response:
A. "Your loved one is depending on you, let's figure this out"
B. "I am mandated to report you to Adult Protective Services if you are unable to perform your
caregiving duties"
, C. "I have a list of psycho educational support groups for caregivers that are proven to be helpful. I
highly recommend that you attend"
D. "I'm sorry to hear about how difficult things have been, anyone in your situation would be stressed"
C
Which neurotransmitter associated with formation of memories is thought to be decreased in patients
with Alzheimer's disease?
A. Dopamine
B. Acetylcholine
C. Serotonin
D. Histamine
B
A nurse will prepare teaching materials for the parents of a child newly diagnosed with ADHD.
Information will focus on which medication likely to be prescribed?
a. Paroxetine
b. Imipramine
c. Methylphenidate
d. Carbamazepine
C
Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse
who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which
defense mechanism is evident?
a. Introjection
b. Conversion
c. Projection
d. Splitting
C
A client who is 16 years old, 5 foot, 3 inches tall, and weighs 80 pounds eats one tiny meal daily and
engages in a rigorous exercise program. Which nursing diagnosis addresses this assessment data?
Practice Test – Study Questions, Answers,
and Key Concepts
A patient experiencing a panic attack suddenly began running and shouting, "I'm going to explode!"
Select the nurse's best action.
A. Ask, "I'm not sure what you mean. Give me an example".
B. Capture the patient in a basket-hold to increase feelings of control.
C. Tell the patient, "Stop running and take a deep breath. I will help you".
D. Assemble several staff members and say, "we will take you to seclusion to help you regain control"
c
A patient diagnosed with schizophrenia expresses fear of being pursued by hostile forces.The patient
carries a tablet and writes notes in a code. The patient says, "I'm the only one who understands this
code." How should the nurse document these findings?
A. Grandiose and persecutory delusions
B. Affective blunting and anhedonia
C. A motivation and loose associations
D. Anergia and auditory hallucinations
A
A highly suspicious patient tells the nurse, "When I sit in the dayroom, I can see other people whispering
about me and laughing. It makes me want to punch them." The direction that the nurse should give staff
is:
A. "Gently and frequently touch the patient while conversing."
B. "Stop laughing immediately when the patient enters the room."
C. "Be direct. Do not whisper, laugh, or look sideways at the patient."
D. "Engage the patient in conversation by leaning close and speaking softly."
C
,Anxiety is a universal experience, particularly in hospitalized individuals. The nurse recognizes it as
clinically significant when:
A. It is relieved by problem-solving within a brief period of time
B. It occurs at a mild level
C. It interferes with functioning
D. None of the above
C
A nurse is asked to establish a short-term goal for a patient with Alzheimer's disease.Which is most
appropriate?
A. Improved problem solving with activities of daily living
B. Increased self-esteem and improved self-concept
C. Optimum functioning in the least restrictive environment
D. Regained sensory perception and cognitive function
C
Which behavior indicates to the nurse that the treatment plan for a child diagnosed with autistic
disorder has been effective? The child:
a. Plays with one toy for 30 minutes
b. Repeats words spoken by a parent
c. Holds the parent's hand while walking
d. Spins around and claps hands while walking
C
A caregiver for your patient with dementia states "I just don't know if I can do this any more". Select
your best response:
A. "Your loved one is depending on you, let's figure this out"
B. "I am mandated to report you to Adult Protective Services if you are unable to perform your
caregiving duties"
, C. "I have a list of psycho educational support groups for caregivers that are proven to be helpful. I
highly recommend that you attend"
D. "I'm sorry to hear about how difficult things have been, anyone in your situation would be stressed"
C
Which neurotransmitter associated with formation of memories is thought to be decreased in patients
with Alzheimer's disease?
A. Dopamine
B. Acetylcholine
C. Serotonin
D. Histamine
B
A nurse will prepare teaching materials for the parents of a child newly diagnosed with ADHD.
Information will focus on which medication likely to be prescribed?
a. Paroxetine
b. Imipramine
c. Methylphenidate
d. Carbamazepine
C
Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse
who was not promoted said, "The nurse manager had a headache the day I was interviewed." Which
defense mechanism is evident?
a. Introjection
b. Conversion
c. Projection
d. Splitting
C
A client who is 16 years old, 5 foot, 3 inches tall, and weighs 80 pounds eats one tiny meal daily and
engages in a rigorous exercise program. Which nursing diagnosis addresses this assessment data?
